| NPI | 1184749582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO TDP.0001026) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO 1026) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2018-11-02 |